DEP/DUA/1/38/46 (Normalised version)

Ann Ross

1785

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N^o5. November 4^th 1785.

Ann Ross at 8 of a complexion rather unhealthy & of a slender make, with dark hair & eyes, of a dull & heavy disposition has a great part of the hairy scalp covered over, with a white firm incrustation, about the eighth of an inch in thickness; it has of late been increasing in extent, & gradually spreading over the whole scalp.

It is extremely itchy but free from pain, & there is no evident ulceration. Of late also she has sometimes pain in her belly, & has discharged within these two days a few worms, which from the description seem to be lumbricus.

Belly regular, appetite natural, no thirst, Pulse not affected.

The affection of the head began about two years ago. It was then very small, but has gradually increased very much. No cause is known for this complaint. She was formerly very healthy, & is of healthy parents. But the same complaint appeared in a small degree in a younger child who died some time ago.

She had a plaster of an adhesive nature, applied over the whole scalp, which brought the incrustations quite off. But they soon returned again. The same has been repeated three different times but though attended with the same effects yet followed with no benefit for the disease is now worse than ever. Applic Catap. e mic pan. p. affectis.

November 5. The poultice applied to the head has brought off the greatest part of the incrustation & the surface below has a raw & red appearance & is in some places considerably ulcerated.

Rx. Ungt Citrin ℥ i.

Axung. Porcin ℥i. ter opt simul. & illin. p. aff. om. m. & vesp. nec non Rx. Antimon crud [ppt]. ℥ii Pulv. Sem Santon ℥p. M cap coch parv. bis indies.

12. The ointment has been applied as directed but the parts of her head formerly affected are [illegible] covered with an incrustation which however is still much thinner than before. Since she began the powders she has discharged two large worms which from the description given, appear to have been of the lumbricus kind. She still complains of gripes, but her mother thinks her belly less swelled than before the use of the powders.

Cont. Ungt. Citris & Pulv. Antim crud cum Sem. Santon. u. a.

19. The incrustation on her head, mentioned in last report, was removed by the application of the poultice & most parts of it at present are quite clean but with slight ulcerations at different places. She has continued the use of the powder, but no more worms have been discharged & she is little affected with gripes though there be still some swelling in her belly.

Cont. Ungt Citrin & Pulv

Antimon. u. a.

26. Most of the parts of her head formerly affected, seem to be much mended. But in others there is still some return of fresh encrustations.

Cont. Ungt Citrin & Antimon crud. u. a.